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Switched Before Birth follows Olivia Crawford (Skyler Samuels) and her husband Brian (Bo Yokely), who after multiple miscarriages, numerous failed IVF trials and stretching themselves to the limit financially, finally receive the joyous news that she’s pregnant with twins. While going through her latest round of IVF, Oliva meets and becomes fast friends with Anna Ramirez (Justina Machado), who is struggling to have a child after years of focusing on her successful restaurants. When Anna becomes pregnant as well, the ladies celebrate and begin to prepare for their babies. Olivia is also there for Anna when she suffers a devastating miscarriage and struggles to move forward while her marriage to restaurateur Gabe Ramirez (Yancey Arias) crumbles. When Olivia and Brian finally welcome their twins Olivia’s life feels complete, but the happy couple’s world is turned upside down when they discover that not only are the babies not twins, but one of the babies is also biologically Anna and Gabe’s that was implanted into Olivia by mistake. Now pitted against each other, Olivia will do anything to keep the baby that she carried, while Anna will stop at nothing to bring her son home.